Active NPI
Hillary Kulia Houseman, PA-C
- Physician Assistant
- Corona, CA
National Provider Identifier
1952469371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18712
- Practice address
- 341 Magnolia Ave
Suite 101
Corona, CA 92879-3330 - Phone
- (951) 735-6060
- Fax
- (951) 735-4510
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18712 | CA | Primary |
Addresses
Primary practice location
341 Magnolia Ave
Suite 101
Corona, CA 92879-3330
Mailing address
341 Magnolia Ave
Suite 101
Corona, CA 92879-3330
Phone (951) 735-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18712 | CA | MD | Clinical Social Worker |
| PA18712 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1952469371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 MAGNOLIA AVE",
"address_2": "SUITE 101",
"city": "CORONA",
"state": "CA",
"postal_code": "928793330",
"telephone_number": "951-735-6060",
"fax_number": "951-735-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 MAGNOLIA AVE",
"address_2": "SUITE 101",
"city": "CORONA",
"state": "CA",
"postal_code": "928793330",
"telephone_number": "951-735-6060",
"fax_number": "951-735-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEMAN",
"first_name": "HILLARY",
"middle_name": "KULIA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.